Welsh Revenue Authority

Please complete the below form to submit your booking request

One of our advisers will then contact you as soon as possible to complete your booking.

Bookings will only be accepted up to 21 days in advance due to the expiry date of the DVLA Codes.

Driver Details

* Hirer Name:

* Hirer E-mail:

* Hirer Mobile/Tel No:

* Driver Name:

* Driver E-mail:

* Driver Mobile/Tel No:

* Date of Birth (age 25 to 75 years):

* DVLA Check Code: Each Check Code is valid for only ONE use.

* Driver's driving licence number: For the first hire, you must provide your full driving license number (16 characters). For subsequent hires, only the last 8 characters are required.

Driver's Address - enter postcode:

Can't find your address? Click here to enter it manually

Extra Driver:

Extra Driver E-mail:

Extra Driver Mobile/Tel No:

Extra Driver's Date of Birth:

Extra Driver's DVLA Check Code: Each Check Code is valid for only ONE use.

Extra Driver's driving licence number: For the first hire, you must provide your full driving license number (16 characters). For subsequent hires, only the last 8 characters are required.

Extra Driver's Address - enter postcode:

Can't find your address? Click here to enter it manually

* Cost Centre:

* Department:

* Line Manager:

Hire Details - DELIVERY

* Delivery Time:

* Delivery Date:

* Delivery Point:

Find your address - enter your postcode:

Can't find your address? Click here to enter it manually

Notes:

Hire Details - COLLECTION

* Collection Time:

* Collection Date:

* Collection Point:

Find your address - enter your postcode:

Can't find your address? Click here to enter it manually

* Key Location:

Airport

Car & Journey Details

* Size of Car Required: Note: if you select a car size other than Small, you will require line manager approval.

Passenger Names:

Reason for Journey:

I am aware that by sending this form to the Contract Manager, I am giving my permission for my driving licence summary details to be retained by Day's Rental for their records.

Yes
No
Note: if you select No above, you cannot hire a car through Day's Rental as they require a DVLA licence check summary code.

In submitting this form, I confirm my licence details submitted are correct.

* Enter verification code:

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